Provider Demographics
NPI:1770505505
Name:SIMA, WILLIAM F (MD INC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:SIMA
Suffix:
Gender:M
Credentials:MD INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 POSADA LANE
Mailing Address - Street 2:STE A
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465
Mailing Address - Country:US
Mailing Address - Phone:805-434-5555
Mailing Address - Fax:805-434-5502
Practice Address - Street 1:322 POSADA LANE
Practice Address - Street 2:STE A
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465
Practice Address - Country:US
Practice Address - Phone:805-434-5555
Practice Address - Fax:805-434-5502
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG58221207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG58221COtherRAILROAD MEDICARE
CA4454410001Medicare NSC
CAWG58221CMedicare PIN
G02837Medicare UPIN